ePath R4 Implementation Guide
1.0.0 - ci-build Japan

ePath R4 Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## : bundle-ep12-example - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "bundle-ep12-example",
      "meta" : {
        "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
        "profile" : [
          🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Bundle_Message_EP12"
        ],
        "tag" : [
          {
            "system" : "urn:oid:1.2.392.200250.2.2.50.20",
            "code" : "12"
          }
        ]
      },
      "identifier" : {
        "system" : "http://e-path.jp/fhir/ePath/IdSystem/apply-id",
        "value" : "d45b4072-9302-4012-85c5-962b17cb2a00",
        "assigner" : {
          "identifier" : {
            "system" : "urn:oid:1.2.392.200250.2.2.1",
            "value" : "4019819897"
          }
        }
      },
      "type" : "collection",
      "entry" : [
        {
          "fullUrl" : "urn:uuid:744c17d2-14a6-48ec-8985-0283cbc0f0d6",
          "resource" : {
            "resourceType" : "Organization",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Organization"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_null\"> </a>ePathテスト病院</div>"
            },
            "identifier" : [
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "facility^4019819897"
              },
              {
                "system" : "http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no",
                "value" : "4019819897"
              }
            ],
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                    "code" : "prov"
                  }
                ]
              }
            ],
            "name" : "ePathテスト病院"
          }
        },
        {
          "fullUrl" : "urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b",
          "resource" : {
            "resourceType" : "Patient",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Patient"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_null\"> </a>駿河 葵</div>"
            },
            "identifier" : [
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "patient^4019819897.0001014360"
              },
              {
                "system" : "urn:oid:1.2.392.100495.20.3.51.1.4019819897",
                "value" : "0001014360"
              }
            ],
            "name" : [
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
                    "valueCode" : "IDE"
                  }
                ],
                "family" : "駿河",
                "given" : [
                  "葵"
                ]
              },
              {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/iso21090-EN-representation",
                    "valueCode" : "SYL"
                  }
                ],
                "family" : "スルガ",
                "given" : [
                  "アオイ"
                ]
              }
            ],
            "gender" : "male",
            "birthDate" : "1938-06-26",
            "managingOrganization" : {
              "reference" : "urn:uuid:744c17d2-14a6-48ec-8985-0283cbc0f0d6"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:24a7aa24-85e9-415d-8028-6912eb21eaf2",
          "resource" : {
            "resourceType" : "Encounter",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Encounter_Admission"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_null\"> </a>【入院期間】2018年06月05日～2018年06月08日</div>"
            },
            "extension" : [
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Encounter_ClinicalDepartment",
                "valueCodeableConcept" : {
                  "text" : "循環器内科"
                }
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Encounter_ClinicalDepartment",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "urn:oid:2.16.840.1.113883.12.69",
                      "code" : "02",
                      "display" : "内科"
                    }
                  ],
                  "text" : "内科"
                }
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Encounter_PatientDeathIndicator",
                "valueCode" : "N"
              }
            ],
            "identifier" : [
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "admission^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00"
              }
            ],
            "status" : "finished",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "IMP"
            },
            "subject" : {
              "reference" : "urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"
            },
            "period" : {
              "start" : "2018-06-05T00:00:00+09:00",
              "end" : "2018-06-08T00:00:00+09:00"
            },
            "reasonReference" : [
              {
                "reference" : "urn:uuid:a1ceaa1f-fd3c-4f32-ba85-80baca010c8a",
                "display" : "狭心症"
              }
            ],
            "serviceProvider" : {
              "reference" : "urn:uuid:744c17d2-14a6-48ec-8985-0283cbc0f0d6"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:a1ceaa1f-fd3c-4f32-ba85-80baca010c8a",
          "resource" : {
            "resourceType" : "Condition",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Condition_CarePlanAddresses"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_null\"> </a><span>狭心症</span></div>"
            },
            "identifier" : [
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "disease^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^20058911"
              }
            ],
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active",
                  "display" : "Active"
                }
              ]
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ]
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "encounter-diagnosis"
                  }
                ]
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:oid:1.2.392.200119.4.101.2",
                  "code" : "20058911",
                  "display" : "狭心症"
                }
              ]
            },
            "subject" : {
              "reference" : "urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:b26ae30d-7a8e-4593-a293-91c9bf3c582b",
          "resource" : {
            "resourceType" : "Procedure",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Procedure_MajorEvent"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_null\"> </a><span>主要イベント：手術</span></div>"
            },
            "extension" : [
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Procedure_AdmissionMajorEventElapsedDays",
                "valueString" : "4"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Procedure_AdmissionMajorEventDate",
                "valueDate" : "2018-06-07"
              }
            ],
            "identifier" : [
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "4019819897.d45b4072-9302-4012-85c5-962b17cb2a00.4.ope.majorevent"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://e-path.jp/fhir/ePath/CodeSystem/EPath_AdmissionMajorEventCategory_CS",
                  "code" : "ope",
                  "display" : "手術"
                }
              ]
            },
            "code" : {
              "text" : "主要イベント：手術"
            },
            "subject" : {
              "reference" : "urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"
            },
            "encounter" : {
              "reference" : "urn:uuid:24a7aa24-85e9-415d-8028-6912eb21eaf2"
            },
            "performedPeriod" : {
              "start" : "2018-06-07T10:30:00+09:00",
              "end" : "2018-06-07T12:30:00+09:00"
            }
          }
        },
        {
          "fullUrl" : "urn:uuid:b3d7212a-6729-4f59-a234-3252f3327e53",
          "resource" : {
            "resourceType" : "Procedure",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Procedure_MajorEvent"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_null\"> </a><span>主要イベント：手術２</span></div>"
            },
            "extension" : [
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Procedure_AdmissionMajorEventElapsedDays",
                "valueString" : "4"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Procedure_AdmissionMajorEventDate",
                "valueDate" : "2018-06-07"
              }
            ],
            "identifier" : [
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "4019819897.d45b4072-9302-4012-85c5-962b17cb2a00.4.ope-2.majorevent"
              }
            ],
            "status" : "completed",
            "category" : {
              "coding" : [
                {
                  "system" : "http://e-path.jp/fhir/ePath/CodeSystem/EPath_AdmissionMajorEventCategory_CS",
                  "code" : "ope-2",
                  "display" : "手術２"
                }
              ]
            },
            "code" : {
              "text" : "主要イベント：手術２"
            },
            "subject" : {
              "reference" : "urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"
            },
            "encounter" : {
              "reference" : "urn:uuid:24a7aa24-85e9-415d-8028-6912eb21eaf2"
            },
            "performedPeriod" : {
              "start" : "2018-06-07T20:30:00+09:00",
              "end" : "2018-06-07T21:30:00+09:00"
            },
            "usedCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://e-path.jp/fhir/ePath/CodeSystem/EPath_AnesthesiaTypes_CS",
                    "code" : "anesthesia-01",
                    "display" : "麻酔"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:24b75aa4-1f99-4070-a98a-5b970603e5fa",
          "resource" : {
            "resourceType" : "CarePlan",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_CarePlan_ePathApply"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_null\"> </a>PCI（2泊3日）NP Local</div>"
            },
            "extension" : [
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AdaptiveCriteriaConfirmation",
                "valueCode" : "1"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AdaptiveCriteriaText",
                "valueString" : "（適用基準）"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_ScheduledDays",
                "valueInteger" : 3
              }
            ],
            "identifier" : [
              {
                "extension" : [
                  {
                    "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Identifier_EPathIdentification_Name",
                    "valueString" : "PCI（2泊3日）NP"
                  },
                  {
                    "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Identifier_EPathIdentification_Version",
                    "valueString" : "1.0"
                  }
                ],
                "system" : "urn:oid:1.2.392.200250.2.2.50.10",
                "value" : "CN05I00511-0"
              },
              {
                "extension" : [
                  {
                    "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Identifier_EPathIdentification_Name",
                    "valueString" : "PCI（2泊3日）NP Local"
                  },
                  {
                    "url" : "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Identifier_EPathIdentification_Version",
                    "valueString" : "1.0.1"
                  }
                ],
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/FacilityClinicalPathwayIdentifier",
                "value" : "CN05I00511-0L",
                "assigner" : {
                  "identifier" : {
                    "system" : "urn:oid:1.2.392.200250.2.2.1",
                    "value" : "4019819897"
                  }
                }
              },
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "careplan^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00"
              },
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/apply-id",
                "value" : "d45b4072-9302-4012-85c5-962b17cb2a00"
              }
            ],
            "status" : "completed",
            "intent" : "plan",
            "title" : "PCI（2泊3日）NP Local",
            "subject" : {
              "reference" : "urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"
            },
            "encounter" : {
              "reference" : "urn:uuid:24a7aa24-85e9-415d-8028-6912eb21eaf2"
            },
            "period" : {
              "start" : "2018-06-05T00:00:00+09:00",
              "end" : "2018-06-07T00:00:00+09:00"
            },
            "addresses" : [
              {
                "reference" : "urn:uuid:a1ceaa1f-fd3c-4f32-ba85-80baca010c8a",
                "display" : "狭心症"
              }
            ],
            "goal" : [
              {
                "reference" : "urn:uuid:6d3605f7-2767-4ee8-8ab1-5973268da412"
              }
            ],
            "activity" : [
              {
                "outcomeReference" : [
                  {
                    "reference" : "urn:uuid:b26ae30d-7a8e-4593-a293-91c9bf3c582b",
                    "display" : "主要イベント：手術"
                  }
                ]
              },
              {
                "outcomeReference" : [
                  {
                    "reference" : "urn:uuid:b3d7212a-6729-4f59-a234-3252f3327e53",
                    "display" : "主要イベント：手術２"
                  }
                ]
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:6d3605f7-2767-4ee8-8ab1-5973268da412",
          "resource" : {
            "resourceType" : "Goal",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_Goal_ePathApply"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Goal_null\"> </a>PCI（2泊3日）NP Local：終了</div>"
            },
            "extension" : [
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_Goal_StatusReason",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://e-path.jp/fhir/ePath/CodeSystem/EPath_PathStatusReason_CS",
                      "code" : "cancel-reason",
                      "display" : "中止理由表記"
                    }
                  ],
                  "text" : "パスの中止理由です。"
                }
              }
            ],
            "identifier" : [
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "goal^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00"
              },
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/apply-id",
                "value" : "d45b4072-9302-4012-85c5-962b17cb2a00"
              }
            ],
            "lifecycleStatus" : "completed",
            "description" : {
              "text" : "PCI（2泊3日）NP"
            },
            "subject" : {
              "reference" : "urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"
            },
            "statusReason" : "パスの中止理由です。"
          }
        },
        {
          "fullUrl" : "urn:uuid:d666ed94-483c-43d1-9e2e-63c8df171032",
          "resource" : {
            "resourceType" : "CarePlan",
            "meta" : {
              "lastUpdated" : "2025-02-28T08:43:51.538+09:00",
              "profile" : [
                🔗 "http://e-path.jp/fhir/ePath/StructureDefinition/EPath_CarePlan_Event"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CarePlan_null\"> </a>【病日・イベント】入院日</div>"
            },
            "extension" : [
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_PathStepName",
                "valueString" : "１回目パスステップ"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_PathStepInpatientOutpatientType",
                "valueCode" : "I"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_PathStepStartDate",
                "valueDate" : "2018-06-05"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionType",
                "valueCode" : "3"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionDays",
                "valueInteger" : 1
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionDate",
                "valueDate" : "2018-06-05"
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionRangeLow",
                "valueInteger" : 2
              },
              {
                "url" : "http://e-path.jp/fhir/ePath/Extension/StructureDefinition/EPath_CarePlan_AllowableElapsedDaysConditionRangeHigh",
                "valueInteger" : 5
              }
            ],
            "identifier" : [
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/resourceInstance-identifier",
                "value" : "careplan^4019819897^d45b4072-9302-4012-85c5-962b17cb2a00^1-1"
              },
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/eventElapsedDays",
                "value" : "1"
              },
              {
                "system" : "http://e-path.jp/fhir/ePath/IdSystem/pathStep",
                "value" : "1"
              }
            ],
            "partOf" : [
              {
                "reference" : "urn:uuid:24b75aa4-1f99-4070-a98a-5b970603e5fa",
                "display" : "PCI（2泊3日）NP Local"
              }
            ],
            "status" : "completed",
            "intent" : "plan",
            "category" : [
              {
                "text" : "入院日"
              }
            ],
            "title" : "入院日",
            "subject" : {
              "reference" : "urn:uuid:550ae89f-7884-4b60-84a9-9de4b605ed6b"
            },
            "goal" : [
              {
                "reference" : "urn:uuid:ee6c6542-b95f-423c-bbcc-13bd62d05ac6",
                "display" : "入院日"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:ee6c6542-b95f-423c-bbcc-13bd62d05ac6",
          "resource" : {
            "resourceType" : "Goal",
            "meta" : {
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